Out of Hours Care

The CPRT monitor the NCTS daily and allocate patients for the Bay of Plenty based on the following: ● The record for the patient is complete ● Enrolled practice is known (as recorded in NES) ● Unenrolled patients are referred to external support services (Tunstall & Evolve)

Once the positive case is reported it will appear in CCCM via the Health Link form interface in the Practice Management System (there can be a slight delay). This patient won’t appear in the practice’s CCCM web version patient list until they have been allocated, however the practice can still search by NHI and find the patient.

CPRT follows up on any incomplete records, implements any new process flows, liaises with the DHB, Toi Te Ora, other PHOs and the Community Co-ordination Hub. They are available for queries from practices and stakeholders regarding clinical management of cases. CPRT attend thrice weekly COVID BOP Partners Hui and provide regular reporting to the DHB and Ministry of Health.

Care of existing High Risk Covid Positive Patients over weekend:

If your practice has a covid positive patient, you are worried about who needs a call over the weekend and you have no capacity:

● Email Covid Primary Response Team: cprt@healthbop.org.nz by 3pm Friday to provide patient details and advise that weekend clinical care is required. ● CPRT will then transfer patient care to Tunstall - ideally this patient should have notes in CCCM to support Tunstall in their care. ● Tunstall can transfer patient care back to practice on Monday.

New Referrals for Unenrolled Covid Positive Patients

New patients with no GP will continue to be referred directly onto Tunstall at the weekend.

New Referrals for Enrolled Covid Positive Patients

All other patients will be automatically allocated directly to their enrolled practice. If practice does not have any staff checking referrals at the weekend, the case will have 24hrs to complete self-assessment then will be picked up on Monday by regular GP.

This process change is due to capacity given higher case numbers, and the move to patients being more self-managing Phase 3:

● CPRT have no way of identifying High Risk referrals with no PMS access ● Self-Assessment Triage tools are not feeding through, no current risk assessment tool to overlay the information. ● Safest way for patient triage is for enrolled practice to receive referral as soon as possible.